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M inverted V glansplasty: an update on technique and outcomes 30 years later

Amy Burns¹, Stephen Harrington², Suzanne Boltz¹, Ross M. Decter¹

1 Department of Urology, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania, USA
2 The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania, USA
Address correspondence to Dr. Ross M. Decter, The Pennsylvania State University, College of Medicine, Department of Urology, 500 University Drive, Hershey, PA 17033-0850 USA

Canadian Journal of Urology 2022, 29(5), 11335-11339.

Abstract

Distal hypospadias is a common congenital urology anomaly for which numerous corrective procedures have been described. Over the last 40 years, the gold-standard operative technique for distal hypospadias has switched from the meatal advancement and glanuloplasty (MAGPI) procedure to the tubularized incised plate (TIP) urethroplasty. A modification to the MAGPI procedure, first described 30 years ago, is the M inverted V (MIV) glansplasty, which improved upon the MAGPI procedure to reduce instances of meatal retraction. The MIV glansplasty is unique compared to many commonly used procedures as it does not require a formal urethroplasty or incorporation of a dartos flap, and it does not always necessitate as extensive mobilization of the glans wings. We describe our updated technique and outcomes of the MIV glansplasty and delineate situations where the MIV is best employed.

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